Urgent Bite 158 – Nasal Septal Haematoma
Always look for a nasal septal haematoma in cases of nasal trauma.
Always look for a nasal septal haematoma in cases of nasal trauma.
Does expectation influence the experience of receiving an injection?
Author: Dr Sandy Crofts
October 2021
Abstract:
Cannabinoid Hyperemesis Syndrome (CHS) is a syndrome of intractable vomiting with severe abdominal pain that is associated with chronic marijuana use. Classically, symptoms are relieved by hot showers and are often unresponsive to traditional acute interventions such as antiemetics.
Patients commonly undergo multiple investigations without diagnosis. Complete resolution of symptoms occurs with abstinence from cannabis.
The following Medical Literature Project gives an overview of Cannabinoid Hyperemesis Syndrome and review of current management.
Author: Dr Alice Mason
March 2022
Abstract:
Paediatric forearm fractures are a common presentation seen in Urgent Care, often occurring from a fall onto an outstretched hand. Currently, best practice is for an x-ray when there is suspicion of a fracture.However, this comes with exposure to ionising radiation and can be associated with prolonged waiting times, pain, and further cost. This review aims to investigate whether point of care ultrasound (POCUS) could be used as an alternative or preferred option for suspected distal radius fractures in children.
Author: Dr Imran Zia
December 2021
Abstract:
A literature review was carried out to assess the safety of Adenosine in Urgent Care (UC) setting for the termination of Paroxysmal Supraventricular tachycardia (PSVT). Thorough literature evaluation advocates the use of adenosine for the acute termination of PSVT in Urgent care settings, especially in rural and remote practices. It has the potential to improve patient management and satisfaction along with a reduction in cost, ED load, and associated hospitalization.
Author: Dr Zeeshaan Khan
Type: MLP-research
December 2022
Abstract:
Paediatric lateral condylar fractures (PLCF) are the most common fractures in children under the age of 7. This article will provide an overview of paediatric lateral condylar fractures with an emphasis on the importance of obtaining adequate radiographs and providing an accurate classification to guide management. It is essential for Urgent Care clinicians to be competent in the reading of paediatric elbow radiographs and possess a sound knowledge of the different classification systems of PLCF in order to provide the correct treatment and knowing when to refer for operative and non-operative treatment.
We should be cautious with penetrating volar hand lacerations.
A drug interaction that should be at the front of our minds.